在75岁的男性中,自发的吸收器血瘤患有急性大腿伤
James Kim1, Hye Chang Rhim2, Jeffrey C Schneider2
1Department of Physical Medicine and Rehabilitation, Boston University School of Medicine, Boston, USA.
Cureus
|March 14, 2024
概括
抗凝固疗法可能会导致出血. 这一案例强调了在服用血液稀释剂时管理患有大腿血瘤的患者,强调了对手术的保守监测.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 血液学 血液学 血液学
背景情况:
- 抗凝治疗对于有血栓病史的患者至关重要.
- 出血是抗凝固药的显著不良影响之一.
- 在接受抗凝血药的患者中,管理出血并发症具有临床挑战.
研究的目的:
- 讨论在接受抗凝治疗的患者中管理 adductor magnus肌内血瘤的挑战.
- 审查目前对肌内血瘤的评估和管理策略.
- 要突出一个成功的非手术治疗扩大的血瘤的案例.
主要方法:
- 一名患有左心室血栓病史的患者出现了扩张的后大腿.
- 评估显示了显著的肌内血瘤与降低血红蛋白水平.
- 一个多学科的团队停止了抗凝药,选择了串行隔间监测.
主要成果:
- 肌内血瘤稳定,无需进行外科手术.
- 随着保守的管理,患者的病情有所改善.
- 这种方法在治疗血液瘤的同时有效地解决了患者的潜在风险因素.
结论:
- 保守的治疗方法,包括停止抗凝血和连续监测,对于某些患者的肌内血瘤可能是有效的.
- 多学科的方法对于最佳的患者护理至关重要.
- 这一案例强调了针对接受抗凝治疗的患者个性化治疗策略的重要性.
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